reg form

NCLUG 2011 Annual Conference Email Registration

This form will send your registration information via email. You will still need to pay the registration fee via paypal or by sending a check (see right side column).

First Name:

Last Name:

Email:

Company:

Address 1:

Address 2:

City:

State:  Zip Code: 

Phone Number: 


Conference Track (please select one)  

 MicroStation   Corridor Modeling    

Payment Method 

 check   paypal    at door 


Conference Fees 

 Early Registration (before 11.18.11 ($50) 
 at Door ($60) 

Comment:

Special dietary request

This form will send your registration information via email. You will still need to pay the registration fee via paypal or by sending a check (see right side column). Once we have recieved payment we will send you a reciept via the email you entered above.

NCLUG 2011 Conference Payment Options

Conference Registration fee is $50.00

To pay by credit card please select the following button

 

To Pay by Check please mail a $50.00 check made payable to NCLUG and mail to:

NCLUG Conference Registration
Attn: Jon Persson
SEPI Engineering and Construction
1025 Wade Avenue
Raleigh, NC 27605

 

You can also mail or fax your registration form (download below) to the above address or fax it to Jon Persson at 919.789.9591

2011_registration.pdf
File Size: 70 kb
File Type: pdf
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